In a society where all the spoils seem to go to the outgoing, being shy or anxious can feel like being cursed. Just because you can’t make direct eye contact and small talk, it’s easy to feel like a failure, clam up even more, and become convinced you’re doomed to a life of banishment. In reality, however, some people are shy and self-critical, no matter how hard they try to become outgoing, and many shy people still find ways to get ahead, no matter how much they hate getting trapped at parties. There may be no real cure for shyness, but that doesn’t mean it has to be a curse, either.

-Dr. Lastname

I’m terribly self-conscious. It makes me extremely shy, self critical and lonely. I don’t talk to people much. I’m terrified to speak to a group of people. It takes me too long to do projects since I’m avoiding mistakes. I’d love to say f*ck my self-consciousness, self-criticism and self judgment. It comes over me, however, like a wave and I don’t overcome it. These negative feelings affect me both emotionally (panic, frustration, resentment) and physically (sweating, shaking, shallow breath). I’d rather be social, self-accepting and a more agile and accomplished performer at work. My goal is to be able to tell my problem to f*ck off and become the person I’d rather be.

If, like our reader from earlier this week, you’re frustrated with your inability to help a child in a bad living situation, you can feel as trapped and tortured as you imagine the child does. There are things you can do to help, but if you’re driven by passion, not patience and care, you might end up doing more harm than good.

Here are five steps you can take that have a good chance of getting a child to safety and keeping you out of the crosshairs.

1) Align With The Authorities

Never protect a child from neglect or abuse before first notifying a state child protective agency. It’s not just the law, it’s also your best protection against taking too much responsibility while also having no authority. If you’re working with the people who can actually make a difference, then you won’t feel like it’s all up to you.

2) Take Stock, Then Take Action

Assess your own needs and other priorities before over-committing resources, factoring in state benefits and possible legal fees. If you’re really upset, you may feel like your only choice is going after the problem with everything you’ve got, but if you’ve got limited time and resources, barreling ahead means sabotaging your own efforts.

3) Give Up The Guilt

After taking every reasonable measure, don’t let your fear of possible neglect blackmail you into assuming full responsibility if you don’t really have the time, energy and health. After sharing your concerns with the state, offer to contribute whatever caregiving you can and no more. Learn to be satisfied with your best compromise, not the best, period.

4) Avoid Exploitation

If you feel your care is being misused by a child or her parent, define standards for good behavior and enforce incentives that need to be met before you give your time. Good behavior, for those whom you shelter, includes doing work (school work, chores, a job), avoiding self-destructive behavior (drugs, bad friendships, self-harm), and not being mean. Then reward those behaviors with incentives include money, car access, and, of course, praise.

5) Advocate for Yourself

Once you’ve set limits you believe are fair and taken actions you believe are smart, don’t second-guess yourself or your choices, or appear wishy-washy. If you gain the authority of custody, use your authority fairly without getting bogged down in self-doubt or explanation. Most importantly, keep reminding yourself that you are an outsider trying to do the right thing without being sucked into chaos.

Earlier this week, we gave a reader advice about how to decide what to do about his broken marriage. Given the disconnect between the way you feel about a marriage and its true potential for benefit or harm in your life, it’s not an easy choice, so here’s a list of questions that will help you find its true value, regardless of your current feelings.

Can I keep putting up with [habit that makes you nuts]?

Ask yourself whether there’s something specific about your partner you can’t tolerate—from the way he never replaces an empty roll of toilet paper to the way she never replenishes your shared bank account after spending too much money on booze—and whether it’s ever likely to change. Remember, people don’t change unless they decide they want to, for their own reasons, and, even then, trying hard is no guarantee. If it isn’t likely to change, consider whether it’s something you can put up with or not.

Can s/he keep putting up with my [habit that makes your partner nuts]?

Ask yourself whether there’s something about you that your partner can’t stand—again, anything from just leaving your dishes in the sink to leaving for days on end without warning—and whether it’s in your power to change. If it is, decide whether you’re willing to change if changing might make the marriage work.

Ask yourself, in a business-like way, what your goals are for a marriage, like companionship, acceptance, support during hard times, strengthened family ties, lower taxes, etc. Then rate your marriage according to these goals, and assess how your ability to reach those goals will be better/worse if your marriage ends, i.e., he might be a good companion and listener, but he’s not around when I really need him, so it might be better to find someone more reliable who’s less chatty and talk to a cat.

Can I see through my rage?

Ask yourself whether your perspective is tainted by anger; a good partner may be infuriating, but also worth sticking it out with, while a bad partner may just make you sad. Instead, pay attention to your rating system, based on all the objective assessments above, which will tell you whether your marriage is good for your life, or whether you should start a new life as a single person.

Whether you’ve been unjustly fired (like our reader earlier this week) or cheated on or just ripped off at the car wash, it’s takes some time to get yourself together after being taken advantage of. Here are five simple things you can do to get your head together after being duped.

1. Don’t blame yourself for being a train wreck

After you’ve been hit hard, you can’t help feeling wounded and sensitive; when somebody punches you, they should feel guilty about the bruise, not you. Remind yourself that you’re not a loser, no matter how thoroughly you wiped out. Life is sometimes unfair to all of us, and unfortunately, your number came up.

2. Don’t mistake rumination for self-understanding

You won’t learn good lessons until later, after you’ve accepted the unfairness of life and recovered your abilities. So if you spend too much time in the aftermath dwelling on what happened to you, you’re just stewing and sulking, not making any inroads to self-discovery. Better to focus on moving forward and leave the learning until the dust has cleared.

3. List your priorities

Figure out what your most important, post-getting-screwed goals are; these usually involve work, friendship, independence, and healthy activities. Do not include getting a fair outcome, changing other people’s opinions, or feeling better soon, because none of those things are included in the whole “getting screwed” process, and aiming for them is bound to prolong your feelings of being cheated and wounded.

4. Get busy on a recovery plan as soon as possible

Once you’ve made your list, start figuring out what you need to do to reach those goals and start taking actions as soon as possible, using a coach or therapist if necessary. Getting going will help you stop thinking about what you’ve been through and get you focused on a whole new area of positive problem solving.

5. Take your time

Don’t rate the success of your recovery by how soon you recover your happiness, wealth, or reputation; you can’t control those things, so they aren’t an accurate reflection of your efforts or a reliable measure of results. Instead, take into account the amount of work you put in, despite how unhappy or humiliated you feel, and take pride in pushing yourself to get back to normal, even if it’s taking longer than you’d like.

What to say when you can’t let go!

Not surprisingly, ending an important relationship—be it with a person or even a job—usually stirs up negative feelings because the circumstances requiring the relationship to end are rarely pleasant, agreeable to all parties, or completely without alternatives and drawbacks. The way to make the best of moving on is to do your own assessment of whether it’s necessary and whether you lived up to your obligations and kept your promises before walking away. Then prepare a statement of your thoughts about the ending, omitting any mention of anger, doubt, or guilt.

Moving on is hard. Don’t make it harder by expressing all you feel. Make it easier for yourself and others by celebrating the positive and accepting what can’t be helped.

Breaking up with a boyfriend after not getting along for far too long

You must be able to assure yourself that:

you can’t make the fighting go away by talking about issues with him, a shrink, or anyone else

major, possible steps to make things better between you two, like cutting back on your hours at work or moving house, aren’t likely to be worth the hassle

his good character traits and ability to function as a partner don’t outweigh the bad chemistry

Script: “You know how much I value our relationship and the many good things about you as a person, but after everything we’ve tried, I can’t see a way to stop the fighting, and I think it’s better for both of us to admit defeat and move on.”

Leaving a hated boss on not-hateful terms

You must be able to assure yourself that:

you’ve done everything possible to make the relationship work well enough to make working there bearable.

there’s no possible way to stay at the company under different management

you’ve got a better opportunity or can survive unemployment

Script: “I’ve learned a great deal from this job and your leadership, and I’m sure what you’ve taught me will be of great help in my new position [without mentioning that what you’ve learned is how to survive a bad boss].”

Breaking up with a girlfriend who expects commitment you can’t deliver

You must be able to assure yourself that:

her good character traits and ability to function as a partner don’t outweigh your belief you can’t give her what she needs in the foreseeable future

you aren’t just panicking in the face of a possible (and terrifying) life-long commitment

you will be strong enough to resist the urge to still see her occasionally and string her along

Script: “I know how happy we are together, but you’re looking for the kind of commitment that, sadly, I can’t provide, and I’d rather end things now before you get more invested and a separation would be even more painful.”

Distancing yourself from an alcoholic parent or sibling

You must be able to assure yourself that:

providing him or her with close support doesn’t have enough positive impact on his or her health and welfare to justify the amount of pain and distress the relationship causes you

you have made every reasonable attempt to get him or her to consider getting sober

there is nothing you can do to change him or her, period

Script: There is no script at first you because you just have to distance yourself without declaring that you’re doing it or apologizing for it. Then, if he or she’s upset, say, “I know we’ve had so many good times together, but I need to focus more on my own well-being now by spending more time with kids/job/baking hobby, and I look forward to you getting more involved in those aspects of my life once you become sober and more independent.”

Distancing yourself from a friend who has gradually become someone you don’t like

You must be able to assure yourself that:

there’s nothing positive or helpful you haven’t already said

you’ve been a good friend and done your share; otherwise, try to even the scales

s/he’s not going to change and that whatever you like about this friendship does not outweigh the dislike

Script: Again, forego an announcement in favor of just returning calls and messages less and gradually fading away. If challenged, say, “I think you’ve been a great friend, but chemistry sometimes changes, no matter what you or I might want, and I think right now we’re both better off spending more time apart.”

Finding equilibrium in your life is hard; as we discussed earlier this week, creating balance in a family of unbalanced people is nearly impossible. In other families, however, you can coach someone into a new, more positive direction. In doing so, you can help them create more security in their own lives, improving their balance and strengthening your bonds instead of risking them.
–Dr. Lastname

I worry about my son because he’s had a hard time getting his life started since he graduated from college a few years ago. He’s very bright and was always a hard worker, but, right after he graduated, it took him a long time to get going and find a job, probably due to a combination of depression, anxiety, and no focus. In any case, he’s now working, but he needs a graduate degree if he wants to make a decent salary in his field and have any sort of financial security, and he never gets around to applying or even looking into possible local programs. He’s not touchy about being pushed, but I hate the idea of nagging him. My goal is to get him to see that he needs to do more if he really wants to be independent.

Helping kids get organized does not require nagging, just administration. Remember, a good boss doesn’t nag, just sets a clear direction for a good reason, assumes that’s what you want to do, and helps you get there. Take that approach as a parent, particularly when, as in your case, your son doesn’t get angry about being advised, encouraged, or incentivized. WAIT! There is more to read… read on »

As you might have noticed, the site’s been going through some changes in the past week or so as we prepare for the release of our book, F*ck Feelings (see pre-order links to the right, it makes an excellent Labor Day gift).

This week, we debut our biggest change—instead of doing two cases per post, we’re going to do two per week. New posts will still go up on Mondays and Thursdays, but those posts will contain just one case, and it’ll be the Monday case and the Thursday case that have a unique and insightful connection, as opposed to two cases within each entry.

We hope you approve of these changes, and we appreciate your patience as we revamp the site and drag it from the WordPress dark ages.

When people are under stress, they sometimes become different people. While nobody aside from Bruce Banner experiences a physical transformation, stress does make some people repeatedly do things they know they shouldn’t. If stress sucks you into a bad habit, learn to accept your loss of control, put shame aside and have faith that the real you is still there and will come back from your mental-Hulk state. Next time, we’ll discuss the strange flipside of stress-induced compulsion.
-Dr. Lastname

I pride myself on being a pretty independent woman, so when I realized I had to give up on a relationship that was going nowhere with a guy I liked, I barely let it phase me. Six months later, however, I fell hard for someone else and, when he dumped me, it seriously messed me up and made me miserable. That’s when I was horrified to find myself calling my previous, going-nowhere boyfriend again. Since then, I can’t seem to stop calling him, even though I feel the same old vague emptiness after we spend time together. I’ve never seen myself as weak, but I feel like an addict every time I get sad and find myself picking up the phone. My goal is to figure out what went wrong with me to make me become someone who can’t stop calling someone whom I know will leave me feeling worse.

Experiencing the urge to do something destructive, be it calling a crappy ex, eating your weight in Oreos, or returning to the vodka trough, isn’t always a sign of overall weakness, weirdness, or creepiness. More often, it’s a sign that a part of your brain is possessed, and Oreo-loving demons don’t get up and leave on their own.

That’s because these compulsions often have a life of their own, and sometimes independent people who are proud of their self-control find themselves struggling with the urge to do something they really don’t want to do, whether it’s drinking, eating, or over-connecting. Nobody’s immune to bad habits, not even good people. WAIT! There is more to read… read on »

Obviously, accidents are, well, accidental, but if we purposefully avoid identifying relative responsibility, then we risk putting ourselves and others through them again. After all, if we don’t take responsibility for accidents that are not largely accidental, we miss an opportunity to prevent them. And if we do take responsibility for accidents that are entirely accidental, we compound the misery unnecessarily, which may make more accidents happen. So, instead of getting swept up in shame or guilt, add up the facts and seek second opinions. Accidents happen, but if you don’t learn from them you’re deliberately setting yourself up for more mistakes.
–Dr. Lastname

My sister drinks because she says it’s the only way to make her anxiety go away—her anti-depressants don’t do it—but she’s been hospitalized three times now because of blackouts caused by drinking and taking extra medication. She gets mad when they try to keep her at the hospital for observation because she always says that she didn’t want to kill herself, she was just trying to get some relief for depression and screwed up by drinking, and being at the hospital makes her more depressed and then she signs out as quickly as possible. She’s mad at me and the rest of the family for insisting that she has a problem with alcohol and needs help, because she thinks we’re just freaking out over a few stupid mistakes and we’re doing this because we like to make her feel worse. My goal is to find her the help she needs.

As you already know, the only problem your sister will admit to having is the one she has with you and your insane overreacting, and maybe also one with your family, who should love her the most but are making her difficult life even more excruciating. You almost can’t blame her for turning to the bottle.

What’s hard for you to accept, of course, is that you can’t get through because, from what you’ve described, her mind is focused entirely on the way she feels in the moment, and in most moments, it’s lousy.

She might have even felt suicidal at the time she almost died, but since she doesn’t afterwards, what was a suicide attempt is now, in her estimation, a silly mistake. As such, she’s not lying, she’s just incapable of seeing the big picture. Shrinks call people whose depressed and angry feelings distort things this way “borderline personality disorders” and, when their distortion is as severe are your sister’s, there’s nothing much that can help them, at least not for the time being.

So don’t try to argue or tell her how much she needs help. Instead, simply trust yourself and act according to what you see and believe. You can’t promise her that she’ll feel better if she stops drinking, particularly not at first. You can promise her, however, that treatment and sobriety can help her think more positively, act more carefully, and reduce the risk of accidental overdose and death if she truly wishes to build a better life.

While the whole concept of “shoot first, ask questions later” sounds cool to many of us, it obviously has some detractors (namely, those who were shot before they could have been vindicated through question-asking). In reality, as always, you need to strike a balance, because, while asking questions can sometimes interfere with action, taking action can be a way to avoid asking difficult questions. So, instead of assuming that either is good without the other, learn how to limit your questions to those that are necessary and how to take action, hopefully unarmed, even when you’re not sure how things will turn out.
–Dr. Lastname

I’ve been taking a medication for several years that has been very good for my depression, but now I’m having obsessive thoughts and my doctor thinks I should take a larger dose and see if it reduces the OCD. She says there’s always an advantage in taking one medication instead of two, and that a month of taking a larger dose every day will tell me whether this medication can help all my symptoms or whether I need to try something else. It’s hard for me to take the same dose every day, because the medication makes me jumpy, so I always take less when I need sleep and then I take more when I need to be awake. In addition, I read on the internet that larger doses might make me fat, or, in some cases, suicidal, so I have a lot of doubts about this increased dose, and a lot of questions that nobody seems able to answer. My goal is to find somebody who has the answers (you?) and figure out the best way to deal with my obsessive thoughts.

If you’re having obsessive thoughts, and both you and your doctor acknowledge this to be a problem, then maybe you shouldn’t take your endless doubts about medication at face value. You can’t alleviate obsessive thoughts by entertaining them, which is what you’re doing here.

It’s valuable, of course, to make careful decisions about medication, and your questions would be useful if your medication were really designed to work quickly and help you stay awake. Instead, it’s designed to help you stop obsessing about factors like these, and to do so at its own pace. WAIT! There is more to read… read on »

While a large percentage of the population enjoys live-Tweeting every thought, Instagramming every cloud, and updating their Facebook status with every fart, there are still some people who prefer to keep their lives fairly private and don’t care what you think about “Scandal.” For whatever reason, some people need to be understood by everyone they know, while others would rather be known only by those they specially trust. In any case, don’t let a frustrated need, whether to be understood or ignored, get you to doubt yourself. Judge your behavior by what you know, rather than by how isolated or crowded you feel, and you’ll find the perfect privacy level.
–Dr. Lastname

I knew that intravenous antibiotics might not help my Lyme disease, but I appreciated the fact that my internist was willing to try an experimental treatment. Now that it’s clearly not helping, however, she continues to act as if I’m basically pretty well and that I should continue my physical therapy for the muscle pain and be glad it isn’t worse. All that tells me is that she really doesn’t understand how debilitated I feel and how much the disease has affected my life; her lack of understanding makes me feel worse than when I came to her for treatment. My goal is to find someone who hears what I’m saying and can comprehend what I’m going through.

We all want understanding from doctors when illness makes us feel helpless, forces us to reduce our expectations or change our lifestyles. If they don’t understand the depth of our pain—especially when illness has pushed us so far down—then it seems unlikely that they’ll be able to find the treatment that will pull us up.

It’s a lot like wanting a comforting parent when you’re hurting and your life is a mess; without that comfort, everything feels much worse and it’s harder to figure out what to do. You want understanding and nurturing, which is hard to find from somebody who wears a lab coat for a living. WAIT! There is more to read… read on »